Individual provider Active NPI

Jacob Lenox

  • Occupational Therapist
  • Lompoc, CA
National Provider Identifier
1275937864
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14716 Issued in CA
Practice address
805 E Walnut Ave
Lompoc, CA 93436-7027
Phone
(805) 735-3714
NPI assigned
Oct 10, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 14716 CA Primary

Addresses

Primary practice location

805 E Walnut Ave
Lompoc, CA 93436-7027

Mailing address

805 E Walnut Ave
Lompoc, CA 93436-7027
Phone (805) 735-3714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14716CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carnahan Therapy the Work Center, Inc. Occupational Therapist PastSince Nov 11, 2014 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1275937864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 E WALNUT AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367027",
            "telephone_number": "805-735-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E WALNUT AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934367027",
            "telephone_number": "805-735-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENOX",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "14716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.